Individual provider Active NPI

Rebeca Enid Vazquez, PULMONOLOGIST, MD

  • Pulmonary Disease Physician
  • Mayaguez, PR
National Provider Identifier
1932551132
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
21344 Issued in PR
Practice address
410 Ave Hostos Ste 112
Mayaguez, PR 00682-1560
Phone
(787) 689-4334
NPI assigned
Jul 12, 2016
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21344 PR
General Practice Physician 208D00000X 21344 PR
Student in an Organized Health Care Education/Training Program 390200000X 32314R PR
Pulmonary Disease Physician 207RP1001X 21344 PR Primary

Addresses

Primary practice location

410 Ave Hostos Ste 112
Mayaguez, PR 00682-1560

Mailing address

410 Ave Hostos Ste 112
Mayaguez, PR 00682-1560
Phone (787) 689-4334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514004266 PR Practitioner - Pulmonary Disease 7719328251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momas Respiratory Care LLCGroup PAC ID 7416281969, 3 clinicians

Practice addresses (Care Compare)

410 Ave Hostos
Mayaguez, PR 00682-1560
Phone 787652920072683

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32314RPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Momas Respiratory Care LLC Pulmonary Disease CurrentSince May 2, 2024 Accepting new patients
West Endocrinology Specialist PastSince Oct 13, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1932551132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS STE 112",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-689-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS STE 112",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-689-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "REBECA",
        "middle_name": "ENID",
        "credential": "PULMONOLOGIST, MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21344",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21344",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "32314R",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "21344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.